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Posted 22nd March 2015 08

I work for a small, privately owned ambulance company. I’m a nationally registered EMT. We transport a lot of patients by ambulance to and from doctor appointments, dialysis, etc. The thing is, Medicare and Medicaid will not pay for those transports if the patient does not meet stretcher requirements, meaning they are not bed confined and could otherwise be transported by wheelchair. We went to transport one patient one day and once I got on scene I evaluated the patient. History of CVA (stroke) and left hemiparesis (weakness, to his left side - which would be considered a stretcher requirement, but is now completely resolved), he has full strength in all extremities and can move all extremities. Patient also states that he can stand with assistance to be transferred into his wheelchair, also, we witnessed him scoot himself from the bed to the stretcher, and he sat upright on his own and held himself up. He was going to the doctor to get a perscription for a wheelchair. I called dispatch to let them know what was going on and that the patient was able to go by wheelchair. They told me that billing told us to take it anyway. So we did. After the call was over, I was sent home for doing a secondary screening on a patient and for calling dispatch about it. They said my job was only to transport and not question dispatch or the call. They also dropped my pay from $11.50/hour to minimum wage ($7.25) for an entire pay period (two full weeks) as a punishment to “teach me a lesson” about calling dispatch and questioning a call.

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